Exam 2 NUR 230/ OB/Peds (NUR 230) | latest updated 2026 spring Galen College of Nursing.

Exam 2 NUR 230 The nurse is assessing a client who is 10 weeks gestation. Which of the following would be an expected physiologic finding? CAAncreased cardiac output B. Decreased progesterone levels C. Increased insulin resistance D. Decreased plasma volume . Late decelerations with contractions C. Minimal variability without accelerations D. Baseline fetal heart rate of 100 beats/min 3. The nurse is assessing a client at 18 weeks gestation. Which of the following findings would require follow-up by the nurse? A. Fundal height at the umbilicus Maternal serum alpha-fetoprotein elevated . Fetal heart rate of 150 beats/min D. Mild lower extremity edema 4, The nurse is caring for a client undergoing amniocentesis at 16 weeks gestation. Which of the following interventions is appropriate? A. Ensure a full bladder before procedure @dminister Rho(D) immune globulin if the client is Rh negative C. Position supine without support D. Instruct client to avoid eating 24 hours prior 2. The nurse is caring for a client at 32 weeks gestation undergoing a nonstress test. Which of the following findings indicates a reactive nonstress test? Two accelerations of 15 beats/min lasting 15 seconds within 20 minutes5. The nurse is assessing a client at 34 weeks gestation with preeclampsia. Which of the following findings requires immediate intervention? @Blood pressure 148/92 mm Hg B. 1+ proteinuria C. Hyperreflexia with clonuse=— D. Mild dependent edema 6. The nurse is caring for a client with diabetes at 36 weeks gestation. Which of the following fetal complications is most likely? A. Intrauterine growth restriction Macrosomia C. Oligohydramnios D. Neural tube defect 7. he nurse is assessing a client with suspected placental abruption. Which of the following findings is expected? A. Painless bright red bleeding B. Fundal height smaller than expected . Board-like abdomen with pain D. Absence of fetal heart rate variability The nurse is teaching a client about daily fetal movement counts. Which statement by the client indicates correct understanding? A. “Fetal movements normally decrease near term.” “I should notify the provider if | feel no movement for 12 hours.”C. “l only need to count movements if | feel decreased activity.” D. “l should count at random times each day.” nurse is caring for a client at 30 weeks gestation diagnosed with oligohydramnios. Which ndition is associated with this finding? A. Maternal diabetes enal agenesis C. Multiple gestation D. Neural tube defect 0. The nurse is assessing a client receiving magnesium sulfate for severe preeclampsia. Which finding requires immediate intervention? @Respiratory rate 10/min . Urine output 35 mL/hr C. Deep tendon reflexes 2+ ~ D. Blood pressure 150/94 mm Hg 11. he nurse is caring for a client in the active phase of the first stage of labor. Which finding indicates expected progression? . Cervical dilation from 2 cm to 3 cm over 4 hours é Cervical dilation from 6 cm to 8 cm over 2 hours C. Station unchanged for 3 hours D. Contractions every 10 minutes 12. The nurse is assessing fetal position. Which of the following indicates a vertex presentation? —-—_ eA. Mentum is presenting part D. Scapula is presenting part 13. The nurse is caring for a client in labor. Which of the following describes engagement? A. Cervix dilated to 10 cm B. Biparietal diameter passes pelvic inlet — f0. Fetal head visible at introitus D. External rotation occurs 14. he nurse is assessing a fetal heart rate tracing with recurrent late decelerations. Which action should the nurse take first? A. Increase oxytocin infusion Reposition the client to side-lying . Perform vaginal examination D. Apply fundal pressure 15. The nurse is caring for a client in the second stage of labor. Which of the following findings indicates fetal extension? A. Occiput rotates anteriorly Chin flexes toward chest C. Occiput passes under symphysis pubis(/"_ D. Shoulders rotate internally 16. The nurse is assessing a client immediately after epidural placement. Which finding is priority?@Blood pressure 88/54 mm Hg . Mild pruritus C. Urinary retention D. Temperature 99°F he nurse is caring for a client in labor receiving IV opioids. Which neonatal complication is most concerning? A. Hyperthermia Respiratory depression C. Hypoglycemia D. Hyperbilirubinemia 18. The nurse is teaching about nitrous oxide use during labor. Which statement indicates correct Pe understanding? A. “It completely eliminates pain.”__ @“It is self-administered with C. “lt increases uterine contractions.” D. “It requires continuous fetal monitoring.” 19. The nurse is caring for a newborn. Which of the following findings requires immediate followp? A. Acrocyanosis Respiratory rate 70/min with grunting . Heart rate 140 beats/min D. Temperature 36.8°C (98.2°F) 20.The nurse is assessing a postpartum client 2 hours after vaginal birth. Which finding requires immediate intervention? A. Fundus firm at umbilicus B. Moderate lochia rubra @Boggy uterus deviated right D. Perineal edema 21. Thie nurse is teaching parents about newborn thermoregulation. Which statement indicates rrect understanding? A. “We should bathe the baby immediately after birth.” @ “We should use skin-to-skin contact to help regulate temperature.” C. “The baby does not lose heat through the head.” D. “Room temperature does not affect the newborn.” The nurse is assessing a client at 28 weeks gestation. Which finding is expected? A. Fundal height 20 cm . Fetal heart rate 170 beats/min é Fundal height 28 cm . Absence of quickening e nurse is caring for a client with gestational diabetes. Which newborn complicatior‘ . E= ———— B Hypoglycemia B. Hypercalcemia C. Hypothermia D. Polycythemia absent 24,he nurse is assessing a client with placenta previa. Which finding is expected? A. Painful dark bleeding . Painless bright red bleeding C. Uterine rigidity D. Absent fetal movement he nurse is caring for a client in labor with variable decelerations. Which is the priority action? A. Increase |V fluids Reposition client . Administer oxygen D. Prepare for cesarean birth The nurse is assessing a client with ruptured membranes. Which finding suggests infection? A. Clear fluid B! Foul-smelling fluid C. Temperature 36.8°C D. Baseline FHR 130 he nurse is assessing station of the fetal head. The presenting part is at the ischial spines. What is the station? A. -2 B.o C. +1 D. +3 28. he nurse is caring for a client in transition. Which behavior is expected?——— A. Talkative and relaxed . Requests epidural States “l can’t do this anymore.” D. Sleeps between contractions 29. The nurse is caring for a client with uterine tachysystole. Which is priority? . Increase oxytocin . Stop oxytocin infusion C. Encourage pushing D. Perform fundal massage 30 e nurse is assessing a newborn. Which finding ithe first hour of life? A. Bradycardia @crocyanosis . Hypotonia D. Apnea The nurse is assessing for signs of neonatal hypoglycemia. Which finding is expected? @) Tremors B. Hypertonia C. Polyuria D. Bradycardia 32. The nurse is caring for a client receiving oxytocin. Which finding requires immediate intervention?@ Contractions every 2 minutes lasting 90 seconds B. Cervix 6 cm dilated — C. Station +1 D. FHR 140 with moderate variability The nurse is teaching about newborn safe sleep. Which statement indicates correct understanding? A. “Place baby on side.” B. “Use loose blankets.” ‘Place baby on back.” D. “Use a sleep positioner.” The nurse is assessing for postpartum hemorrhage. Which is earliest sign? A. Hypotension @ Tachycardia C. Decreased urine output D. Pallor The nurse is assessing a client 12 hours postpartum. Which finding is expected? A. Fundus above umbilicus B. Lochia alba @Lochia rubra D. Severe abdominal pain 36. The nurse is assessing a client in labor with FHR baseline 100 beats/min. This finding indicates:Tachycardia @ Bradycardia C. Normal baseline D. Sinusoidal pattern The nurse is caring for a new ith Apgar score 6 at 1 minute. Which action is priority? A. Initiate breastfeeding . Dry and stimulate C. Administer naloxone D. Begin chest compressions 38. The nurse is assessing a client for postpartum depression. Which statement requires follow-up? A. “l feel tired.” B. “I feel overwhelmed sometimes.” @ “I don’t feel connected to my baby.” D. “l cry occasionally.” 39 The nurse is teaching about signs of labor. Which finding indicates true labor? A. Contractions decrease with walking @Cervical dilation present C. Irregular contractions D. Pain relieved by rest 40. The nurse is caring for a client in the third stage of labor. Which indicates placental separation? A. Uterus soft (B,5udden gush of bloodJ C. Fetal heart rate decelerations D. Cervix closes The nurse is assessing a newborn for jau Which finding requires follow-up? A. Jaundice at 48 hours Jaundice within first 24 hours . Mild scleral icterus day 3 D. Total bilirubin 8 mg/dL day 3 V4 42. The nurse is caring for a client with shoulder dystocia. Whi A. Fundal pressure — McRoberts maneuver C-Apply vacuum D. Increase oxytocin / he nurse is assessing a newborn’s reflexes. Which is expected? A. Absent Moro reflex (B/Bilateral Babinski reflex C. No rooting reflex D. Asymmetric grasp / The nurse is caring for a client receiving magnesium sulfate. Which lab value should be monitored? A. Hemoglobin Serum magnesiumC. Sodium D. Platelets he nurse is teaching about breastfeeding. Which statement indicates correct understanding? A. “Feed every 6 hours.” “Breastfeed on demand.” . “Supplement with water.” D. “Limit to 5 minutes per side.” 46. The nurse is assessing uterine involution. Which finding is expected on postpartum day 17? (AFundus 1 cm below umbilicus B. Fundus 2 cm above umbilicus C. Fundus at umbilicu D. Fundus not palpable 47 he nurse is assessing for neonatal respiratory distress. Which finding is concerning? A. Periodic breathing @ Nasal flaring . Respiratory rate 40/min D. Pink mucosa 48. The nurse is teaching about cultural influences on childbirth. Which nursing action is appropriate? A. Assume cultural norms Ask about preferencesC. Ignore cultural beliefs D. Enforce hospital routine 49. he nurse is prioritizing care for four laboring clients. Which client should be seen first? A. 4 cm dilation, contractions g5min @. 8 cm dilation, feeling rectal pressure C. 2 cm dilation, intact membranes D. 6 cm dilation, requesting epidural The nurse is assessin ewborn 5 minutes after birth. Which Apgar score indicates normal adaptation? A. 4 B.6 7 D.10